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DR. KELLY M RUDD PHARM.D., BCPS
NPI 1508841222
Pharmacist in Tulsa, OK

Active since December 15, 2005
1111 W 17TH ST, TULSA, OK 74107(185) 618-2399 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly M Rudd Pharm.d., Bcps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY M RUDD PHARM.D., BCPS (NPI 1508841222) is an individual pharmacist in Tulsa, Oklahoma, licensed in Oklahoma (19454) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1508841222
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. KELLY M RUDDCredential: PHARM.D., BCPS
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address34794 S Highway 82Vinita, OK 74301-7045 · (315) 717-3268
Phone(185) 618-2399
Sole ProprietorYes
Enumeration DateDecember 15, 2005
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1508841222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in OK · 19454✔ Licensed in IA · 19713
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X · License 050193 (NY)
1111 W 17TH ST, Tulsa, OK 74107
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Other Identifiers 1

Other19434OK · Oklahoma State Board Of Pharmacy

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Rudd's NPI number?

The NPI number for Kelly Rudd is 1508841222. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Kelly Rudd located?

Kelly Rudd practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (185) 618-2399.

What is Kelly Rudd's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kelly Rudd was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.